Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model
To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. In this study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet...
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| Vydané v: | Clinics in orthopedic surgery Ročník 10; číslo 1; s. 99 - 110 |
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| Hlavní autori: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Korea (South)
The Korean Orthopaedic Association
01.03.2018
대한정형외과학회 |
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| ISSN: | 2005-291X, 2005-4408, 2005-4408 |
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| Abstract | To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC.
In this
study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors
.
The ultimate load-to-failure was significantly higher in RPB group compared to RS group (
= 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP.
Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. |
|---|---|
| AbstractList | To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC.BACKGROUNDTo evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC.In this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro.METHODSIn this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro.The ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP.RESULTSThe ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP.Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications.CONCLUSIONSLocally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. In this study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors . The ultimate load-to-failure was significantly higher in RPB group compared to RS group ( = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. Background: To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. Methods: In this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro . Results: The ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Conclusions: Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. KCI Citation Count: 0 |
| Author | Du, Zhen Wu Kim, Kyung Ok Zhang, Wei Noh, Kyu-Cheol Kim, Ji Eui Zhao, Hong Yu Ren, Ming Liu, Xiao Ning Yang, Cheol-Jung |
| AuthorAffiliation | Gachon Medical Research Institute, Gil Medical Center, Gachon University, Incheon, Korea Department of Orthopedic Surgery, The Armed Forces Daejeon Hospital, Daejeon, Korea Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea |
| AuthorAffiliation_xml | – name: Gachon Medical Research Institute, Gil Medical Center, Gachon University, Incheon, Korea – name: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – name: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea – name: Department of Orthopedic Surgery, The Armed Forces Daejeon Hospital, Daejeon, Korea |
| Author_xml | – sequence: 1 givenname: Xiao Ning surname: Liu fullname: Liu, Xiao Ning organization: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea., Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – sequence: 2 givenname: Cheol-Jung surname: Yang fullname: Yang, Cheol-Jung organization: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea., Department of Orthopedic Surgery, The Armed Forces Daejeon Hospital, Daejeon, Korea – sequence: 3 givenname: Ji Eui surname: Kim fullname: Kim, Ji Eui organization: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea – sequence: 4 givenname: Zhen Wu surname: Du fullname: Du, Zhen Wu organization: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – sequence: 5 givenname: Ming surname: Ren fullname: Ren, Ming organization: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – sequence: 6 givenname: Wei surname: Zhang fullname: Zhang, Wei organization: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – sequence: 7 givenname: Hong Yu surname: Zhao fullname: Zhao, Hong Yu organization: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China – sequence: 8 givenname: Kyung Ok surname: Kim fullname: Kim, Kyung Ok organization: Gachon Medical Research Institute, Gil Medical Center, Gachon University, Incheon, Korea – sequence: 9 givenname: Kyu-Cheol surname: Noh fullname: Noh, Kyu-Cheol organization: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea |
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| Snippet | To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the... Background: To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize... |
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| SubjectTerms | Animals Arthroplasty Biomechanical Phenomena Bone and Bones - physiopathology Bone Marrow - metabolism Chronic Disease Disease Models, Animal Elastic Modulus Insulin-Like Growth Factor I - metabolism Male Original Platelet-Derived Growth Factor - metabolism Platelet-Rich Plasma - metabolism Rabbits Rotator Cuff Injuries - pathology Rotator Cuff Injuries - therapy Shoulder Joint - physiopathology Shoulder Joint - surgery Tendons - physiopathology Transforming Growth Factor beta1 - metabolism Vascular Endothelial Growth Factor A - metabolism Wound Healing 정형외과학 |
| Title | Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/29564054 https://www.proquest.com/docview/2017054648 https://pubmed.ncbi.nlm.nih.gov/PMC5851862 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002320336 |
| Volume | 10 |
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| ispartofPNX | Clinics in Orthopedic Surgery, 2018, 10(1), , pp.99-110 |
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